The URL can be used to link to this page

CERTIFICATE OF LIABILITY INSURANCE (2) - Page 1 of 2 DATE(MWDDIYYYV) CERTIFICATE OF TY INSURANCE12/28/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pol'Icy(ies)must have ADDITIONAL INSURED provisions or be endorsed= It SUBROG�/TION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement, A statement on this certificate noes not confer rI hts to the certificate holder in lieu of such endorsemengs. PRODUCER -Z-ORTACT Willis Towers Watson Certificate Center NAME; ,,. Willis Towers Watson Northeast, Inc. PHONE- 1-877-94.5®7378 A`C No: 1-888-467-2378'. C/o 26 Century Blvd - _. P.O. Box 305141. ADR - cert,9,.fic4tQm@willi4 corar Nashville, IN 312305191 USA. INSURERE_S)AFFORDING COVERAGE NAIG4 lNSURERA: Ace American insurance Company 22667 INSURED INSURERS: ACYL Property & casualty Insurance C y 20699 Xerox Merritt 7 IIJRLI C:Corporation � ..R _ In ity Insurance C ars of North m 201 & reit ri�.,43875 -t Norwalk, CT 048511054 ACE Fire Underwriters Insurance _ 7 2 INURERD: �° � _..9,C�7D2 ... IidUR€R E INSURER F COVERAGES CERTIFICATE NUMBER.W27432489REVISION NUMBER-, THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. y � DYYLTR TYPE OFINSURANCE POLICYNUE3 Y MM/ DlY LIMIT COMMERCIAL GENERAL LIAOIL[TY EACH OCCURRENCE S 2,000,000 CL.AIMS,MAOE OCCUR PRE MISES e ra nrSs _000 000 AF � ..... MED EXP(Any ona person) t 5.000 O 072955043 01/01/2023�01/01/2024 PERSONAL&ADV INJURY 2,000,000 CENI AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE ;5 10,000,000 POLICY PRO- � 2,000,000 PRO- JECT .m..ei0 LOC Pfloouc,r�-comp-,,op AGO, $. OTHER; $ AUTOMOBILE LIABILITY Ct 40INEE7 SiIf41LE[7mTr 5,000,000 ANY AUTO i U€7C7iLY"IJJIJRV leer�er�ttr�i .. ,,, A OWNED meg; SCI,EDULED TSA H25574631 471/01/2023 O1/01/2024 BODILY INJURY P@!oto €I 3 4 AUTOS ONLY AUTOS HIRED NONI)WNEf7 PROPERTYGANIA4'aE_. F._... . ..._,_,___. _ __........ Au rop,ONLY �—_I AUTO s.ONLY I .-1P6r acOu IL ... 1 ... UMBRELLA LIAR X Rk.CUR EACHOCCURRENC.E 5,000,000 EXCESS LIAB CLAII.AS-MADF 2 U G29 017GAL OO7 0110112023 01/01/20.24 AGGREGATE 5' 5,000,000 DED..Ft I RETENTION PEN C �WORKIERSCOM AND EYIBA�IOIEtEXECUTib'E � hl A 7 EACH P ACCIDENT ER Ofl0 pf OFFICEF+MEIUIBERLXCL4IDED. WLR 068425 3 01/01/2023!01/01/2024' 1,040,T140' f tory in E.L.i - DISEASE EA EMPLOYEE S A 'es,ciescrrl under -_ a -1j ODS,OLID SCNIPTICkhI OF CFPERATIONS rr E.L.DISEASE-POLICY OMIT 1 111 -A, " €ar ars Ceirperlastion and .n C68926S95 '01/02/2023 01/01/2024'E.L. EACH ACCTD "�'1,p00,0It50 Employers' Liability E.L. DISRUE $1,000,000 Per Statute ''.S..L. DI:S.. E -POLICY $1,000,000 DENT/ OP OPERATIONS t LOCATIONS r VEHICLES IACORD 101,Additionat Remarks Schedule,may be attached II more space is required? _..---- -- SEE ATTACHRID Cb 11 CERTIFICATE HOLDER -. -CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE MTH THE POLICY PROVISIONS. Clearwater Public Library AUTHORIZED REPRESENTATIVE 100 N Oceala Ave Clearwater, SL 33755 1988-201'6 ACORD CORPORATION, All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered Narks of ACCP as 1- 23508509 SATCH: 2786518 202 $732 AGENCY CUSTOMER ID: LOC#: ACC>RE) ADDITIONAL REMARKS SCHEDULE Page 2 Of 2 AGENCY NAMi;INS NNE 0 Willis Towers Watson Northeast, Inc, Xerox Corporation 201 Merritt 7 POLICY NUMBER Norwalk, CT 068511056 See Page 1 CARRIER MAIC CODE See Page 1 See Page I EFFECTIVE'.DATE: see Page I ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: , 2 5 FORM TITLE: Certificate of Liability Insurance .. -7� 7=777�__, . ... ........ INSURER AFFORDING COVERAGE: ACE Fire Underwriters Insurance company NAIC#: 20702 POLICY NUMBER: SCF C6892774 EFF DATE: 01/01/2023 EXP DATE: 01/01/2024 TYPE OF' INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Workers Compensation and E.L. EACH ACCIDENT $1,000,000 employers' Liability E.L. DISEASE -EA EMP $1,000,000 Per Statute E.L. DISEASE -POLICY $1,000,000 ADDITIONAL REMARKS: Policy mentioned above is for Workers Compensation WI. ACORN 101 (2008/01) 0 2008 ACORD CORPORATION, All rights reserved. The ACORD name and Iogo are registered marks of ACORD SR ID: 23508509 BATCH: 278651$ CERT: w27432489